The present study was designed to clarify whether bcl-x, is involved in the development of carcinoma in the stomach. Levels of bcl-x, and bcl-2 mRNA were determined by a reversetranscription/polymerase-chain reaction in endoscopic gastric biopsy specimens from 10 control subjects, I I patients with adenomas and 14 patients m'th carcinomas. In 6 of I I adenomas, 5 of 8 early carcinomas and 3 of 6 advanced carcinomas, the bcl-x, gene was over-expressed. In carcinomas, overexpression of the bcl-x, gene was observed in 6 of 9 intestinaltype carcinomas and 2 of 5 diffuse-type carcinomas. No correlation was observed between bcl-x, and bcl-2 gene expression. In cases in which the bcl-xL gene was over-expressed, an apparent increase in the protein level of Bcl-q was observed by immunoblot analysis and intense Bcl-x immunoreactivity was detected immunohistochemically within the tumor cells. In conclusion, we showed that bel-x, is over-expressed in gastric carcinomas at both the RNA and protein levels, suggesting that overexpression of bcl-x, may play a role in gastric carcinogenesis.o 1996 Wiley-Liss, Inc.